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School Name
Group Name
Goal (SMART format)
Target Group
Data to Identify Students
School
Counselor(s)
Sophie
Gavilanes
Social
Worker
School
Psychologi
st
Outline of Group
Sessions to be
Delivered
1) Treat
everyone
with respect
2) 5 Ws & 1 H
of bullying (who, what,
where,
when, why
& how)
3) Safe ways to get
involved in
a bullying situation
4) Bully
Prevention Agents of Change:
Coping
strategies, & resources -
Resources Needed
The Nedshow.com
Color Your World
with Kindness (2
mins)
Webisode 2: Miltons
Dreams (Youtube)
The Nedshow.com
Upstander video (4
mins)
Webisode 11: Power
in Numbers Video (2
mins Youtube)
Computer or
projection screen for
weekly videos
Markers
Pencils
Poster board for
group agreement
Pre and Post survey
Paper
Construction paper
Candy/reinforcement
s
Process
Data
(Projected
number of
students
affected)
4th grade
teachers
will
choose
between
8-10 male
students
based on
the presurvey
data
results.
This small
group will
meet
once a
week
during
interventi
on time.
Perception
Data (Type
of surveys
to be used)
100% of
students
will be
able to
identify 5
strategies
to address
bullying in
a safe and
positive
manner.
Outcome Data
(Achievement,
attendance
and/or behavior
data to be
collected)
Implications
At the end of
the small
group
sessions,
there will be a
30% increase
of students
who believe
they now
have the tools
and resources
to help
themselves or
another
individual
when faced
with a
negative
social
situation.
Students will
learn how to
safely and
effectively be
an upstander
and peer
leader of
bullying
prevention.
In turn,
students will
have the
skills and
resources to
better cope
with stressful
social
situations
among their
peers.